Deck 26: Cardiopulmonary Conditions and Treatment

Question 1

Which of the following can be classified as a nonmodifiable risk factor for a myocardial infarction?

A) Previous heart attack
B) High cholesterol
C) Stress
D) Obesity

Answer 1

Previous heart attack

Question 2

An OTA is working with a client diagnosed with COPD. The client is limiting his participation in daily activities because of the potential of shortness of breath. Which psychosocial factor is this client most likely experiencing?

A) Depression
B) Anxiety
C) Anger
D) Sadness

Answer 2

Anxiety

Question 3

A client has recently undergone coronary artery bypass graft surgery and has precautions due to a sternotomy. Which of the following should the OTA be monitoring during treatment sessions?

A) Always move the arms one at a time when reaching.
B) Do not lift anything heavier than 15 pounds.
C) Hold a pillow tightly against chest during transitions.
D) Avoid shoulder flexion beyond 90 degrees.

Answer 3

Avoid shoulder flexion beyond 90 degrees.

Question 4

An OTA has introduced a client with COPD to a new intervention plan. When checking on the client 2 days later, the OTA notes a weight gain of 5 pounds. The client is also complaining of pain in her jaw and upper extremities. What should the OTA do first in response to this information?

A) Stop the intervention and notify the nursing staff.
B) Educate the client on weight management.
C) Advise the client to take pain medication before treatment.
D) Call for immediate emergency assistance.

Question 5

An OTA is working with a client who has COPD and currently cares for her spouse and children. Which energy-conservation activity can the OTA suggest that will best fit the client's needs when preparing meals?

A) Sit in a chair when preparing dinner.
B) Prepare the entire meal at one time.
C) Place all ingredients in an overhead cabinet.
D) Put pots and pans under the stove to store.

Question 6

Which of the following is the overall goal for OT practitioners when instructing clients in the use of energy conservation and work simplification tasks?

A) Change of the client's overall lifestyle in every task
B) Instruction in the performance of all meaningful tasks
C) Generalization of the skills learned for one task to other activities
D) Incorporation of all strategies into new occupations

Question 7

An OTA is working with a client in the hospital after an exacerbation of COPD. While working with the client, the OTA notes that his oxygen saturation drops below 90%. What should the OTA do first in response to this information?

A) Take the client back to bed and call the physician.
B) Request that the client receive oxygen.
C) Restrict the client from additional activity.
D) Return the client to a resting position.

Question 8

An OTA is working with a client in an acute care setting after a diagnosis of myocardial infarction. Which of the following should the OTA do when conducting interventions?

A) Assess the client's heart rate before during and after activity.
B) Utilize a pulse oximeter only when there is shortness of breath and dizziness.
C) Count heartbeats for 10 seconds for an irregular pulse.
D) Utilize resistive exercises.

Question 9

An OTA is providing education to a client who has recently started using oxygen due to a pulmonary disorder. Which of the following should the OTA advise for the client as she modifies her routine for oxygen use?

A) Keep oxygen 2 feet away from space heaters.
B) Use water-based lotions or creams only.
C) Drag the oxygen tubing behind or beside her as she ambulates.
D) Store the cylinders in a bag next to the bed.

Question 10

An OT practitioner has created an intervention plan for a client who has congestive heart failure to build up endurance. What is a sign that this client is not tolerating the intervention?

A) Excessive sweating
B) Deep breathing
C) Slight elevation in heart rate
D) Significant leg pain